Organization
SUBURBAN OBSYETRICS AND GYNECOLOGY P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT T GORE M.D. (PRESIDENT)
(253) 851-3065
Entity
Organization
Contact information
Practice address
12508 58TH AVE NW, GIG HARBOR, WA 98332-9141
(253) 851-3065
Mailing address
12508 58TH AVE NW, GIG HARBOR, WA 98332-9141
(253) 851-3065
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
WA00014632
WA
Other
Enumeration date
07/14/2006
Last updated
08/22/2020
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